Individual provider Active NPI

Alice Joseph, MD

  • Internal Medicine Physician
  • Alexandria, VA
National Provider Identifier
1104918580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101038499 Issued in VA
Practice address
5244 Dawes Ave
Alexandria, VA 22311-1404
Phone
(703) 379-1000
Fax
(703) 931-4461
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101038499 VA Primary

Addresses

Primary practice location

5244 Dawes Ave
Alexandria, VA 22311-1404

Mailing address

5244 Dawes Ave
Alexandria, VA 22311-1404
Phone (703) 379-1000

Other identifiers 1

IdentifierTypeStateIssuer
6096131MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120409000466 DC Practitioner - Internal MedicinePractitioner - Nephrology 3678734225 Reassigns benefits to 1 organization
Practice locations: Alexandria, VA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5244 Dawes Ave
Alexandria, VA 22311-1404
Phone (703) 379-1000

Hospital & facility affiliations

  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Joseph, M.D. P.C. CurrentSince Nov 12, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5244 Dawes Ave
Alexandria, VA 22311
Phone (703) 379-1000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104918580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5244 DAWES AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111404",
            "telephone_number": "703-379-1000",
            "fax_number": "703-931-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5244 DAWES AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111404",
            "telephone_number": "703-379-1000",
            "fax_number": "703-931-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101038499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6096131",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.